Organization
STATE UNIVERSITY OF IOWA
Active
Parent organization
STATE UNIVERSITY OF IOWA
Other names
Anesthetic Intensivist Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE UNIVERSITY OF IOWA
Authorized official
NATHAN N BARNES (INTERIM SENIOR DIRECTOR, REV CYCLE)
(319) 678-6937
Entity
Organization
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IA
208600000X
Surgery Physician
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15088
WELLMARK BC/BS
IA
Enumeration date
08/09/2005
Last updated
05/08/2024
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